Objective: The aim of this study is to examine the cesarean rates between 2013 and 2016 and the distribution of cesarean indications over the years. Materials and methods: The study was performed retrospectively by examining the records of 12,315 births performed at Obstetrics and Gynecology Clinic at TR Ministry of Health Public Hospitals Trabzon Kanuni Training and Research Hospital between 2013 and 2016. The history, type and cesarean indications of these births and the ages of the pregnant women were recorded using patient files. To analyze the data, descriptive statistical methods (Frequency, Percentage, Mean, and Standard deviation), Pearson Chi-Square test and Fisher Exact test were used. For statistical significance, p<0.05 was accepted. Findings: The total number of deliveries during the 4-year period was 12.315 and 5558 of them (45.1%) were cesarean sections.The main indications of caesarean sections were; 3195 previous uterine surgery (58.2%), 899 head-pelvis mismatches (16.1%), 715 fetal distress (12.8%), 210 breech birth (3.7%) and 114 large babies (2.0%). There were no morbidity and mortality cases after vajinal and cesarean deliveries between 2013 and 2016. There was no statistically significant difference between cesarean and vajinal birth rates according to the years (p = 0.291). Conclusion and Recommendations: The study demonstrated that the cesarean rate (45.1%) as below the average of Turkey (53%), but it was much higher than the one determined by the World Health Organization (15%). The most frequent indication in the study for all years was previous uterine surgery and there was no significant change in cesarean section rates over the years. There are some methods that can be applied to decrease the cesarean rate such as to control primary cesarean rates, it is also important to educate women about the benefits of normal birth and to support and encourage them for pain control during birth, improve the physical conditions of the clinic, the prevention of the operations which are applied only for maternal request without any medical indications, a good evaluation of indications when a decision is made for cesarean section if it is the first pregnancy and educate midwives, nurses, and obstetricians regularly.